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Serum ferritin and the risk of early-onset colorectal cancer

World Journal of Gastrointestinal Oncology 2024年第8期16卷 3496-3506页

作者： Adam L Urback Kylee Martens Hannah Stowe McMurry Emerson Y Chen Caitlin Citti Anil sharma Adel Kardosh Joseph J Shatzel Division of Internal Medicine Oregon Health&Science UniversityPortlandOR 97239United States Division of Hematology and Medical Oncology Knight Cancer InstituteOregon Health&Science UniversityPortlandOR 97239United States Division of Gastroenterology&Hepatology Oregon Health&Science UniversityPortlandOR 97239United States

BACKGROUND The incidence of early-onset colorectal cancer(EO-CRC)is rising in the United States,and is often diagnosed at advanced *** serum ferritin is often incidentally discovered in young adults,however,the indication for endoscopy in EO-CRC is *** To compare serum ferritin between patients with EO-CRC and healthy controls(HCs),and examine the association of serum ferritin in EO-CRC with patient-and disease-specific *** A retrospective study of patients<50 years with newly-diagnosed EO-CRC was conducted from 1/2013-12/*** were included if serum ferritin was measured within 2 years prior to 1 year following CRC histologic *** supplement the analysis,a cohort of HCs meeting similar inclusion and exclusion criteria were identified for comparison.A sensitivity analysis including only patients with serum ferritin obtained at or before diagnosis was separately performed to minimize risk of *** Among 85 patients identified with EO-CRC(48 females),the median serum ferritin level was 26 ng/mL(range<1-2759 ng/mL).Compared to HCs(n=80211),there were a higher proportion of individuals with EO-CRC with serum ferritin<20 ng/mL(female 65%,male 40%)versus HCs(female 32.1%,male 7.2%)age 29-39 years(P=0.002 and P<0.00001,respectively).Stage IV disease was associated with significantly higher serum ferritin compared to less advanced stages(P<0.001).Serum ferritin obtained before or at the time of diagnosis was lower than levels obtained after *** findings were confirmed in the sensitivity *** Severe iron deficiency may indicate an increased risk of EO-CRC,particularly at earlier *** studies defining the optimal serum ferritin threshold and routine incorporation of serum ferritin in screening algorithms is essential to develop more effective screening strategies for EO-CRC.

关键词： Early-onset Young-onset Colorectal cancer Age Ferritin Iron deficiency

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Deep Learning-Based Speech Emotion Recognition: Leveraging Diverse Datasets and Augmentation Techniques for Robust Modeling

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Journal of Harbin Institute of Technology(New series) 2024年

作者： Ayush Porwal Praveen Kumar Tyagi Ajay sharma Dheeraj Kumar Agarwal Department of Electronics and Instrumentation Engineering Shri G.S.Institute of Technology and Science Department of Electronics and Communication Engineering Maulana Azad National Institute of Technology School of Computing Science and Engineering VIT Bhopal University

In recent years， Speech Emotion Recognition (SER) has developed into an essential instrument for interpreting human emotions from auditory data. The proposed research focused on the development of a SER system employing deep learning and multiple datasets containing samples of emotive speech. The primary objective of this research endeavor is to investigate the utilization of Convolutional Neural Networks (CNNs) in the process of sound feature extraction. Stretching， pitch manipulation， and noise injection are a few of the techniques utilized in this study to improve the data quality. The investigation includes coverage of these methods. Feature extraction methods including Zero Crossing Rate， Chroma＿stft， MFCC， RMS， and MelSpectogram are used to train a model. By using these techniques， audio signals can be transformed into recognized features that can be utilized to train the model. Ultimately， the study will produce a thorough evaluation of the model’s performance. When this method was applied， the model achieved an impressive accuracy of 94.57% on the test dataset. Proposed work also validated on EMO-BD and IEMOCAP dataset. These consist of further data augmentation， feature engineering， and hyperparameter optimization. By following these development paths， SER systems will be able to be implemented in real-world scenarios with greater accuracy and resilience.

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Tuberculosis in kidney transplant candidates and recipients

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World Journal of Transplantation 2024年第3期14卷 59-69页

作者： Pallavi Prasad Sourabh sharma Subashri Mohanasundaram Anupam Agarwal Himanshu Verma Department of Nephrology Vardhman Mahavir Medical College and Safdarjung HospitalNew Delhi 110029DelhiIndia Department of Nephrology Prashanth HospitalChennai 600042Tamil NāduIndia

Tuberculosis(TB)is the leading cause of infectious mortality and morbidity in the world,second only to coronavirus disease *** with chronic kidney disease and kidney transplant recipients are at a higher risk of developing TB than the general *** TB is difficult to diagnose in this population due to close *** transplant candidates should be screened for latent TB infection and given TB *** who develop active TB pre-or post-trans-plantation should receive multidrug combination therapy of antitubercular therapy for the recommended duration with optimal dose modification as per glomerular filtration rate.

关键词： Tuberculosis Latent Antitubercular therapy Kidney transplantation Donor Interferon-gamma release assays Tuberculin Rifampicin Isoniazid

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Echocardiographic predictors and associated outcomes of multiple vegetations in infective endocarditis:A pilot study

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World Journal of Cardiology 2024年第6期16卷 318-328页

作者： Ajay Kumar Mishra Kannu Bansal Ibragim Al-Seykal Pradnya B Bhattad Anu Anna George Anil Jha Nitish sharma Jennifer Sargent Mark J Kranis Division of Cardiology Saint Vincent HospitalWorcesterMA 01608United States Department of Internal Medicine Saint Vincent HospitalWorcesterMA 01608United States Department of Medicine Division of CardiologySaint Vincent HospitalWorcesterMA 01608United States Division of Cardiovascular Medicine Saint Vincent HospitalWorcesterMA 01608United States

BACKGROUND Infective endocarditis(IE)is a life-threatening infection with an annual mortality of 40%.Embolic events reported in up to 80%of *** of>10 mm size are associated with increased embolic events and poor *** is a paucity of literature on the association of multiple vegetations with *** To study the echocardiographic(ECHO)features and outcomes associated with the presence of multiple *** In this retrospective,single-center,cohort study patients diagnosed with IE were recruited from June 2017 to June 2019.A total of 84 patients were diagnosed to have IE,of whom 67 with vegetation were *** demographic,clinical,laboratory,and ECHO parameters were *** that were studied included recurrent admission,embolic phenomenon,and *** Twenty-three(34%)patients were noted to have multiple vegetations,13(56.5%)were male and 10(43.5%)were *** mean age of these patients was ***(35%)had a prior episode of *** features of moderate to severe valvular regurgitation[odds ratio(OR)=4],presence of pacemaker lead(OR=4.8),impaired left ventricle(LV)relaxation(OR=4),and elevated pulmonary artery systolic pressure(PASP)(OR=2.2)are associated with higher odds of multiple *** these moderate to severe valvular regurgitation(P=0.028),pacemaker lead(P=0.039)and impaired relaxation(P=0.028)were statistically *** patients were noted to have an increased association of recurrent admissions(OR=3.6),recurrent bacteremia(OR=2.4),embolic phenomenon(OR=2.5),intensive care unit stay(OR=2.8),hypotension(OR=2.1),surgical intervention(OR=2.8)and device removal(OR=4.8).Of this device removal(P=0.039)and recurrent admissions(P=0.017)were statistically *** This study highlights the associations of ECHO predictors and outcomes in patients with IE having multiple *** features of moderate to severe regurgitation,presence of pacemaker lead,impai

关键词： Endocarditis Echocardiography Vegetations Predictors Outcome

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竞茧蜂属的研究(膜翅目:茧蜂科)

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昆虫分类学报 1985年第2期 107-107页

作者： vineeta sharma 印度查谟大学生物科学系

本文共发表了Zele属九个新种,每种皆加以简明的记述。文内并附有检索表。1.黄跗竞茧蜂 Zele helvitarsis,新种(图1-4) 本种的区别点是:并胸腹节有网状脊起(网紧密);第一背骨片细,气门位于基部1/3处;翅脉与翅前缘分离,最近处为其宽度的6... 详细信息

本文共发表了Zele属九个新种,每种皆加以简明的记述。文内并附有检索表。1.黄跗竞茧蜂 Zele helvitarsis,新种(图1-4) 本种的区别点是:并胸腹节有网状脊起(网紧密);第一背骨片细,气门位于基部1/3处;翅脉与翅前缘分离,最近处为其宽度的6倍。2.黑竞茧蜂Zele nigra,新种(图5-8)

关键词：茧蜂并胸腹节径横脉

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Bethanechol Remains the Preferred Drug in Suspected Underactive Bladder: Findings from Nation-Wide Prescription Analysis

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Open Journal of Urology 2024年第5期14卷 301-311页

作者： Sanjay Vasant Kamble Anjana Kalpesh Yadav Maneesha Tarkeshwar sharma Radha Ratnadeep Bhosle Department of Medical Services Samarth Life Sciences Pvt. Ltd. Mumbai India

Background: Bethanechol chloride, a cholinergic agonist, is often prescribed in suspected underactive bladders to improve detrusor contractility, despite its limited clinical efficacy. We investigated the usage pattern of bethanechol in actual practice with the understanding that it would enable the physicians to make an informed decision on the coherent use of bethanechol. Methods: A nation-wide survey was carried out to obtain the responses of the urologists. Out of the 755 urologists approached, 630 survey responses were considered for analysis. Results: Usage of bethanechol was advocated as very common [318 (50.48%)], common [200 (31.75%)], not so common [107 (16.98%)], and rare [5 (0.79%)] in postoperative urinary retention, where it was preferred either exclusively [255 (40.48%)] or along with alpha blockers [247 (39.21%)]. Predilection to use alpha-blocker [247 (39.21%)], alpha-blocker plus naloxone [4 (0.64%)], naloxone [1 (0.16%)], alpha-blocker plus bethanechol plus naloxone [1 (0.16%)] was also observed. It was also preferred individually in pathologies causing urinary retention such as benign prostatic hyperplasia [125 (19.84%)], diabetic neuropathy [82 (13.02%)], neurological diseases [69 (10.95%)], senile bladder [14 (2.22%)], drugs [13 (2.06%)], and infective/inflammatory conditions [6 (0.95%)]. Other [321 (50.95%)] physicians opted to prescribe bethanechol in two or more of the enumerated indications. Bethanechol was prescribed orally as 25 mg thrice daily [441 (70.00%)], 50 mg thrice daily [86 (13.65%)], 25 mg four times daily [59 (9.37%)], and many “strongly agree” and “agree” that its sustained release formulation may offer better treatment compliance [565 (89.68%)], safety [548 (86.99%)], and efficacy [544 (86.35%)]. Conclusion: Bethanechol was the most prescribed drug for the management of postoperative urinary retention and other pathologies suspected to cause underactive bladder.

关键词： Bethanechol Benign Prostatic Hyperplasia Detrusor Underactivity Urinary Retention Underactive Bladder

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Imidazole-Linked Fully Conjugated Covalent Organic Framework for High-Performance Sodium-Ion Battery

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CCS Chemistry 2024年第5期6卷 1255-1263页

作者： Lu Liu Yu Gong Yifan Tong Hao Tian Xubo Wang Yiming Hu Shaofeng Huang Weiwei Huang Sandeep sharma Jingnan Cui Yinghua Jin Weitao Gong Wei Zhang State Key Laboratory of Fine Chemicals School of Chemical EngineeringDalian University of TechnologyDalian 116024 Department of Chemistry University of Colorado BoulderBoulderColorado 80309 Hebei Key Laboratory of Applied Chemistry Yanshan UniversityQinhuangdao 066004

Covalent organic frameworks(COFs)have garnered increasing attention as promising electrode materials for sodium-ion batteries(SIBs)due to their ordered backbones,uniform pore sizes,and high surface ***,they also face challenges,including low capacity,unsatisfactory rate performance,and limited cycling stability,which pose the primary obstacles to their practical ***,a pyrenoimidazole-based COF,denoted as PyIm-COF,has been synthesized as a novel electrode material for highperformance SIBs using an efficient synthetic *** extended fully conjugated backbones and readily accessible redox-active sites,PyIm-COF demonstrates remarkable high-rate performance,delivering around 250 m Ah g^(−1)and excellent cycling stability,retaining 97.2%of its capacity even after 2500 cycles at 5 A g^(−1),which is higher than that of most previously reported COF-based *** work provides valuable insights into the development of nitrogen-rich conjugated COF electrode materials for rechargeable SIBs.

关键词： pyrenoimidazole fully conjugated backbones covalent organic framework electrode material sodium-ion battery

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Quantification of Structurally Alert Mutagenic Impurities in Meropenem Trihydrate Drug Substance by Liquid Chromatography with High Resolution Mass Spectrometer (LC-HRMS)

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American Journal of Analytical Chemistry 2024年第3期15卷 119-133页

作者： Anwar Sulaiman K. Ramakrishna Reddy Vundavilli Jagadeesh Kumar Hemant Kumar sharma REVA University Bangalore India Quality Division Aurobindo Pharma Limited Hyderabad India APL Research Centre-II Analytical Research Department Aurobindo Pharma Limited Hyderabad India

Potential mutagenic impurities in Active Pharmaceutical Ingredient, Meropenem Trihydrate were assessed and a novel analytical method for their quantification was developed and validated. This Liquid Chromatographic method using High Resolution Mass Spectrometer (LC-HRMS) technique is proved to be suitable for simultaneous quantification of all ten identified impurities with required specificity, sensitivity, resolution, precision, accuracy, and other method characteristics as per ICH Guidelines. The acceptable limit of less than 2.9 μg/g was considered for evaluations, based on drug substance dosage and duration of treatment. The method stands most sensitive with a Limit of Detection of 0.35 μg/g, considering the challenge full acceptance criteria as per current regulatory standards.

关键词： Mutagenic Impurities LC-HRMS Meropenem Trihydrate Method Validation

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One-Pot Green Synthesis of 1, 4-Dihydropyridine Derivatives Using Polyindole TiO2 Nanocatalyst by Solvent Free Method

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Open Journal of Composite Materials 2024年第3期14卷 109-123页

作者： Deepak Babasaheb Phasage Sanjay K. sharma Balram Tripathi Sonia Chahar Srivastava Department of Chemistry JECRC University Jaipur India S. S. Jain Subodh PG College Jaipur India

This study used a Polyindole in combination with TiO2 nanocatalyst as an efficient heterogeneous catalyst to carry out a multi-component Hantzsch reaction involving different aromatic aldehydes with methyl acetoacetate, and aqueous ammonium to create 1,4-dihydropyridine derivatives under solvent free condition at ambient temperature. A broad range of aldehydes and methyl acetoacetates, ranging from heteroaromatic to polyaromatic one, with high level of functional group tolerance can be used to provide the desired products possessing relevant medicinal moiety in high yields. This technology has prospective advantages over current protocols, including the utilization of a cheap, stable, recyclable, and safe catalyst, quicker reaction times with higher yields and simple product isolation.

关键词： TiO2 Nanocatalyst Green Synthesis Surface Morphology

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评估农林业适应气候变化的潜力:尼泊尔拉姆琼案例研究

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Journal of Resources and Ecology 2024年第2期15卷 280-292页

作者： JOSHI Rajeev TAMANG Gyanu Maya BHANDARI Prativa sharma Bharat JOSHI Dikshya BHUSAL Shushma 尼泊尔农林大学林学院自然资源管理学院尼泊尔卡塔里56310 特里布万大学林业研究所(博卡拉校区) 尼泊尔博卡拉33700 森林和土壤保护部森林部门办公室尼泊尔久姆拉21200 森林研究所印度德拉敦248001 远西大学农学院尼泊尔提卡波10901

农林系统具有多种效益,包括通过使用肥用树种来提高土壤质量,通过树冠改善小气候,以及生产薪柴和其他医药产品等森林产品以提高经济效益。农林复合经营有助于更好的土地管理、生计多样化和提高土地生产力。然而,政策制定者和其他利益相... 详细信息

农林系统具有多种效益,包括通过使用肥用树种来提高土壤质量,通过树冠改善小气候,以及生产薪柴和其他医药产品等森林产品以提高经济效益。农林复合经营有助于更好的土地管理、生计多样化和提高土地生产力。然而,政策制定者和其他利益相关方在农林业作为气候变化适应战略中作用的争辩却越来越多。本研究的目的是评估农林业作为气候变化适应战略的潜力。数据主要通过问卷调查从拉姆琼县Taksar的120名受访者中收集,采用卡方检验和二元logistic模型分析了影响气候变化适应策略的家庭选择因素。同样,通过访谈、讨论和观察以及后续的文件分析,对所获得的数据进行三角互证和验证。研究表明,农民采取了许多应对气候变化的策略,这些策略包括农牧多样化(71%)、使用改良作物品种、化肥和农药(73%)、农林复合经营(68%)、创收多样化(72%)、改变作物种植日期(57%)和复种措施(67%)等。从卡方检验和二元logistic模型中发现,“耕作经验”、“教育水平”、“农场规模”和“性别”对气候变化适应策略具有显著影响。农林复合经营具有不同的效益,如增加河流汇水(79.2%)、改善小气候(80.8%)、增加木材产品(71.7%)、提高粮食产量(83.3%)、改善牲畜健康和畜产品(77.5%)、提高土壤肥力(84.2%)和多样化生计选择(82.2%)。基于这些发现,该研究得出结论:农林复合经营是一种可以减少气候变化对当地环境影响的农业生产方法,推广和采用农林业可以帮助当地社区减少气候变化的影响。

关键词：气候变化适应策略当地社区复种

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